Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

An Urban 9-1-1 System's Experience with Left Ventricular Assist Device Patients.

Mat Goebel, Christopher Tainter, Christopher Kahn

    Prehospital Emergency Care
    |October 5, 2018
    PubMed
    Summary

    Emergency Medical Services (EMS) encounters with left ventricular assist device (LVAD) patients are rare but often involve serious conditions like weakness or chest pain, leading to high admission rates.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Impact of an eCPR Pilot Program on Outcomes After Out-of-Hospital Cardiac Arrest for Patients Who Do Not Receive eCPR in a Large, Urban EMS System.

    Prehospital emergency care·2025
    Same author

    Fentanyl Levels May Be Unchanged With Extracorporeal Membrane Oxygenation.

    The Annals of pharmacotherapy·2024
    Same author

    Retrospective Comparison of Upper and Lower Extremity Intraosseous Access During Out-of-Hospital Cardiac Arrest Resuscitation.

    Prehospital emergency care·2024
    Same author

    A Novel Algorithm for Improving the Prehospital Diagnostic Accuracy of ST-Segment Elevation Myocardial Infarction.

    Prehospital and disaster medicine·2023
    Same author

    Impact of interhospital transfer on patients with Alzheimer's disease and other related dementias.

    Alzheimer's & dementia (Amsterdam, Netherlands)·2023
    Same author

    A Review of Bicarbonate Use in Common Clinical Scenarios.

    The Journal of emergency medicine·2023

    Area of Science:

    • Cardiology
    • Emergency Medicine
    • Medical Devices

    Background:

    • Left ventricular assist devices (LVADs) are increasingly utilized for longer durations.
    • Previous research primarily focused on LVAD device troubleshooting.
    • This study examines the epidemiology of LVAD patient encounters with emergency medical services (EMS).

    Purpose of the Study:

    • To describe the epidemiology of LVAD patient presentations to EMS.
    • To analyze prehospital assessments and interventions for LVAD patients.
    • To report hospital outcomes for LVAD patients presenting to emergency departments.

    Main Methods:

    • Retrospective chart review of LVAD patients from a single academic center (January 2012-December 2015).
    • Inclusion criteria: patients activated 9-1-1 and were transported by urban EMS.
    Keywords:
    CHF, ventricular assist deviceLVADemergency medical servicesheart failureheart-assist devices

    Related Experiment Videos

  • Data abstracted included prehospital chief complaint, vitals, assessments, interventions, and hospital outcomes.

    • Main Results:

    • 15 LVAD patients accounted for 16 EMS transports.
    • Most common chief complaints: weakness (7/16) and chest pain (3/16).
    • High admission rate (87.5%); common hospital diagnosis was GI bleed (3/16); one death due to subarachnoid hemorrhage.

    Conclusions:

    • EMS encounters with LVAD patients are infrequent but associated with high admission rates and serious diagnoses.
    • Weakness and chest pain were the most frequent prehospital symptoms.
    • EMS should be aware of non-device-related complications like intracranial and GI bleeding in LVAD patients.